Babinski reflex
-big toe turns upward and the rest fan out
grasping reflex
-hand closes and grasps
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Babinski reflex
-big toe turns upward and the rest fan out
grasping reflex
-hand closes and grasps
moro/startle reflex
-throws head back, extends arm and back in
rooting reflex
-turns head, opens mouth toward contact
sucking reflex
-begins sucking
tonic neck reflex
-arm on side of turned head stretches out, opposite arm bends at elbow "fencing pose"
stepping reflex
-walking motion
why some reflexes disappear
-brain maturation vs. physical growth
-birth of dynamic systems theory
physical growth: weight and length
-weight: fastest in first 3 years, x2 by 5 mo, x3 by 1 year
-length: body parts grow variably, big heads
physical growth: nutrition
-complexity of breastfeeding vs. formula: 48%worldwide breastfeed
-colostrum: first milk produced, thick yellowish, high protein and antibodies
-zinc, iron, calcium IMPORTANT!
-iron most commonly missed nutrient
-toddlers (12-24mo): smaller appetite than infant, slower growth rates
physical growth: nutrition (solid foods)
-solid foods (4-6mo)
-require fine motor skills
-food groups
-closer to 8-10mo
-start with small finger foods
-allergens: wheat, fish/seafood, honey, eggs, nuts
-100 foods by 1 yr programs support food introductions, taste, picky eaters
physical growth: failure to thrive FTT
-organic: physical abnormalities with mouth, head, face shape
-inorganic:insufficient caloric resources
-CAUSES: inadequate caloric intake-physical challenges consuming food, access------increased caloric losses/malabsorption-gastrointestinal issues------increased systemic caloric demand-increased caloric needs due to medical condition
-stunting: gene X environment
jaundice
-immature liver
-yellow skin at birth or within 2 days
-60% full term 80% preterm
-~1 million babies/yr
-if treated resolves quickly if not can lead to death/brain damage
colds
-runny nose/fever
-6mo
-7/8 a year
-low risk, seek professional care with fever over 105
respiratory syncytial virus (RSV)
-upper respiratory system
-obstruction of bronchioles
-difficulty breathing
-almost all children under 2
-33 million cases/ yr
-require hospitalization
-risk greatest under 3mo
-45000 deaths from 0-6mo
ear infections
-fluid build up and trapped bacteria in middle ear
-linked to colds/ sore throat
-immature eustachian tube
-5/6 babies before 3yrs
-2nd most common illness
-require antibiotics or tubes
vaccines
-MMR: measles, mumps, rubella
-polio
-hepatitis A/B
-chickenpox
-influenza
-rotavirus
-DTP: diphtheria-tetanus-pertussis (whooping cough)
immunization rates
-dropped since covid
-1/5 children lack access to lifesaving vaccines
-U.S. infants receive 14 vaccines starting at 2mo
Wakefield controversy
-linked MMR vaccine to autism but was NOT TRUE
accidental injuries
-leading cause of death from1-4yrs
-common injuries that can be deadly
-drowning, car accident, suffocation, burns, ingestion of toxic chemicals
-firearms, 1200 deaths from 2003-2021, 29% of children between 0-5yrs
-1/3 children live in home with firearms
-safe storage laws, child access prevention laws
sleep safety
-sudden unexplained infant death
-sleeping arrangements can explain 25% of SIDS/accidental suffocation and strangulation in bed ASSB
-soft bedding, overlay of another sleeping person, entrapment, tangled in bedding
-public health campaigns, safe to sleep have reduced rates
-sleep on back, wearable blankets, no hats, firm flat sleep surface with fitted sheet
sleep and healthy development
-sleep need decreases across lifespan; infants 14-17hrs
-cycled lighting in nicu leads to greater daytime activity, faster weight gain, less fussing/ cry, less time on ventilators, shorter hospital stay
-breast milk has circadian variation
-tryptophan enriched formula at night leads to positive sleep results
sleep challenges light exposure
-49% children 0-8 use screen in the hour before bed
-screen based media before bed associated with delayed bedtime, longer sleep onset latency, shorter sleep duration
-shorter sleep durations and increased awakenings at 18mo linked to emotional and behavioral problems at 5yrs
-home lighting environment can improve sleep health
sensation
-brain receives input from sensory organs
-detection of world
perception
-brain interprets info from sensory receptors
-making sense of sensation
touch
-any stimulation of skin
-4-7 wks post conception
-testing reflexes one example of touch sensation activation (habituation and change detection)
-pain babies feel 24wks gestation
-multiple indicators of pain sensation
-differences preterm to full term
-touch, massage, reducing pain
-epidermis (outer layer of skin), dermis (middle), hypodermis (inner layer)
taste
-gustation=taste
-papillae: skin layer hosts taste buds
-3000-10000 taste buds
-chemical receptors
-8wks post conception, functional at 14wks, fully developed 33-36wks
-tongue, cheek, epiglottis, soft palate, esophagus
-still a mystery in brain
-current hypothesis is multiple brain areas receive taste signals
-different for each type of taste, bitter-gustatory cortex, sweet,salty,umami-insula?, sour-?
carrot juice study
-babies who received carrot juice during pregnancy preferred the taste after birth as well as compared to those who did not receive it
smell
-olfactory receptors
-nose and mouth
-9wks post conception
-more research needed on smell in utero
-signals sent to olfactory bulb: sweet, amniotic fluid, breastmilk, fear
-supports recognition of caregiver (longer looking to mom's face when newborn also smells mom)
hearing
-we receive sound(brainstem)--> transform into electrical signal(midbrain)-->send to brain for processing(auditory cortex)
-6wks dots on head form
-20wks outer ear
-25wks bones and brain connection
-responsive at 30-35wks
-1-2 of 1000 live births have hearing loss
-exposure to loud sounds>50dB bad for babies
-IDS/ higher frequency good for babies
vision
-least developed at birth
-dramatic change in first 3yrs
-minimal light leads to minimal development in utero
-retina forms 8wks gestation but doesn't fully form until post birth
-32wks immature pupil (caution for premies)
-eye movement control first month post birth
retina
-light sensitive
-hosts two photoreceptors
-part of nervous system
-electrical signal sent through optic nerve
rod
-all light stimuli except color
-120million
cone
-color, bright light
-6-7million
-fovea: back center of eye, sharpest and clearest vision
teller acuity test
-black and white lines
-newborn 20/200
-8m 20/100
-10m 20/50
-3-6yr=adult 20/20
congenital cataracts
-clouded lens
-20000-40000 births globally
-surgical correction
-improvement 1hr after surgery
-better outcome with earlier surgery
-face-space not recovered after surgery
object perception
-perceiving boundaries/ differences
-4.5mo-shape contrast, motion
-6-7mo-shape, color and pattern, dimension
-learning feature boundaries through experience
face perception
-faces carry critical info for successful navigation of the social world including: intentions, age, emotion, gender, race, identity attractiveness
-newborns orient toward face-like configurations (especially eyes)
implications of perceptual specificity
-perceptual sensitivity influences communication and learning cues involving faces
-emotion face processing
connecting senses and perception across modalities
-modality specific: specific to 1 sense
-amodal attributes: independent of any single/specific sense
-duration, rhythm, timing, colocation
-intersensory redundancy
-intermodal perception: integrating modality specific and amodal attributes
is experience needed for intermodal perception?
-could blind person upon suddenly gaining ability to see recognize object by sight that he had previously known by feel?
-if yes we possess innate concepts that are independent of the senses
-if no any concept of a spere or other object must be tied to sensory experience
-expereince IS NEEDED- cross-modal transfer is not innate
-althought very young infants succeed, there is still need for experiential learning
can newborns recognize cross-modally? (cross-modal transfer)
-yes recognize feeling from sight
-feeling in hands to sight
piaget
-knowledge acquired in stages
-sensori-motor, pre-operational, concrete operations, formal operations
development in sensori-motor stage
-reflex schemes, 0-1mo, action reflexes, reflex>intentional actions, ex: sucking, grasping, eye movement
-primary circular reactions, 1-4mo, first changes in actions, adaptions to schemes, ex: sucking fingers, grasping objects
-secondary circular reactions, 4-8mo, applies schemes to objects and updates, intentionally produce effects (causal), ex: shaking rattle
-coordination 2nd CR, 8-12mo, link distinct schemes, applies to new situations, ex: lids spoon banging pot
-tertiary CR, 12-18mo, intentionally acting on their world, experimentation object manipulation, ex: round peg triangular hole
-mental representation, 18-24mo, forms representation of objects and events, symbolic representation, ex: putting doll to sleep
A not B object permanence
-piaget: interprets failure of task as evidence that infants think their actions (reaching) cause appearance of object
-usually pass task at 12-18mo
vygotsky mechanisms of development
-social and more knowledgeable others
-gradual and continuous
-ZPD: zone of proximal development
information processing
-memory systems
-information registries--> later processing
-born with domain general processes to be ready for experiential learning
core knowledge
-continuous quantitative development
-evolutionarily ancient knowledge
-domain specific knowledge
-core knowledge domains: object permanence, solidity, cohesion, support
systems and connectionist theory
-co-development of many things
-discontinuity and continuity
orienting
-directing attention or gaze to object, location, event
-turning eye gaze toward dad's face
selecting
-choosing some info to attend to and other info to ignore
-looking at eyes of face and ignoring nose and mouth
maintaining
-continuing to attend to some info, resisting to shift to other info
-continuing looking at dad's face even with dog barking
Covert (vs. Overt)
-attending to something without looking at it
-listening to basketball game on tv
explicit memory
-requires conscious awareness
implicit memory
-doesn't require conscious awareness
-learning through classical conditioning
semantic memory
-facts/ general knowledge
episodic memory
-personally experienced events
procedural memory
-motor and cognitive skills
priming
-enhances identification of objects or words
infantile amnesia
-effects episodic memory and hippocampus
autobiographical memory
-memory for events in your life
-remembering second birthday party
short term memory
-limited memory that lasts a few moments
-only a few things can be stored here
-remembering phone number you have just been told long enough to make call
long term memory
-unlimited memory that last indefinitely
-memories or facts and events that have happened in our lives
episodic memory
-memories for events
-memory of a picnic with boats
semantic memory
-memory for facts
-knowing state names
categorization in infants
-begins early 2-3mo
-internal vs external features
-shape, color, pattern, color-function, labels ~6mo
-concept ~12mo
cephalocaudal principle
-development from head to toe
proximodistal principle
-development from center of body toward extremities
general-to-specific principle
-development of motor skills in child from whole body movements to precise
primitive reflexes
-involuntary muscle contractions induced by specific stims
rooting
-turning head to object
-locating food
-3-4mo
sucking
-rhythmic sucking motion
-intake of food
-3-4mo
moro startle reflex
-arms and palms spread outward then return to midline
-crying
-3mo
palmar grasp
-palm closes around stimulus
-4mo
spinal galant
-swings pelvis toward stimulated side
-2-9mo
asymmetric tonic neck reflex
-baby extends arm on face side and flexes arm on skill side
-4-6mo
symmetric tonic neck reflex
-arms bend and legs extend with head flex
-arms extend and legs bend when head is extended
-8-12mo
motor milestones
-look different in every baby but generally follow the same timeline